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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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BRANTLEY, ELISE IRENE       
Practice Address: 3030 NW 149TH ST
OKLAHOMA CITY OK 73134

Address last updated on 4/3/2024
Phone #: (405) 562-6222
Fax #: (405) 562-6522
County: OKLAHOMA
License: 28488
Dated: 6/10/2011
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Dermatology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2005
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF DERMATOLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Medicare Blue
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
3030 NW 149TH ST
OKLAHOMA CITY OK 73134

Phone #: (405) 562-6222
Fax #: (405) 562-6522
Mon:
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri:
Sat:
Sun:
401 SW 80th
Bldg D Suite 101
oklahoma city, OK 73139

Phone #: (405) 562-6222
Fax #: (9) 202-
Mon:
Tue: 1:00PM - 4:00PM
Wed:
Thu:
Fri: 8:00AM - 4:00AM Every other Friday
Sat:
Sun:

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